| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,636 |
1,468 |
$62K |
| 99072 |
|
72 |
71 |
$4K |
| 3288F |
|
245 |
240 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
68 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
320 |
312 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$483.29 |
| 1101F |
|
245 |
240 |
$150.25 |
| 1100F |
|
245 |
240 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$0.00 |
| 3725F |
|
55 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
220 |
220 |
$-1.99 |